Diane E Stevens, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

05001122A Issued in IN

Practice address

1595 S Calumet Rd Ste 3
Chesterton, IN 46304-2389

Phone

(219) 764-4888

Fax

(219) 898-4258

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacob'S Ladder Pediatric Rehab Center

  • Speech-Language Pathologist
  • Chesterton, IN
  • NPI 1164251849
  NPD
• Jacob'S Ladder Pediatric Rehab Center

  • Physical Therapist
  • Chesterton, IN
  • NPI 1265519151
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1912045576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 S CALUMET RD STE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042389",
            "telephone_number": "219-764-4888",
            "fax_number": "219-898-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 S CALUMET RD STE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042389",
            "telephone_number": "219-764-4888",
            "fax_number": "219-898-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DIANE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05001122A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasija Steffek, FNP
• Bernard J Stento, MS, LAT, ATC
• Lisa R Stephenson, NP
• Rachel L Stern, DPM
• Amy Stevens, CADAC II
• Isabella Stevens
• Vanessa Stevens
• Andrea S Stone, PSYD
• Jennifer Stout
• Hannah Sucku, RBT

• Pediatric Physical Therapist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Pediatric Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.